NPI | 1003181314 |
---|---|
Entity Type | Organization |
Authorized Contact | DEBORAH L DYKEMA Physician Owner 602-978-1555 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: AZ DO1865) |
Enumeration Date | 2012-03-20 |
Last Update Date | 2023-08-25 |